Medically underserved areas & HPSA profile

Medically Underserved Areas in South Carolina

80 Medically Underserved Areas and 267 active HRSA Health Professional Shortage Area designations across South Carolina.

MUAs
80
Total HPSAs
267
Primary care
99
Mental health
77
Dental
91

Lower-middle density verdict

South Carolina sits in the lower-middle quarter by active designations per resident. According to current HRSA Data Warehouse records, its 46 counties carry 267 active shortage designations; York County has the largest county count at 13, while about 83.9% of residents live in a geographic shortage county.

267
Active HPSA designations
99
Primary-care shortages
80
Medically underserved areas
83.9%
Residents in a shortage county

Key findings

What the HRSA Data Warehouse does not surface for South Carolina on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.

  1. Closing South Carolina's active designations would take about 524 additional clinician FTEs, led by dental.

    HRSA providers_needed summed once per HPSA id across the state: 152 primary care, 175 mental health, 197 dental. Federal gap estimate, not a practising-clinician headcount.

  2. 37.1% of South Carolina's active designations are primary care.

    Discipline mix from state aggregates: 99 primary care, 77 mental health, 91 dental (denominator 267).

  3. York County holds 4.9% of South Carolina's 267 active designations (13 of 267).

    46 of 46 counties in this profile carry at least one active record; the remainder are zero-active on this release.

HRSA state registry desk

South Carolina designation file stamps

HPSA-VOL
267
MUA-COUNT
80
PC/MH/DH
99/77/91
RANK
39/56
DENSITY
MID-LOW
BOOK
46 counties

Lead discipline: primary-care. Photo-finish peer: Idaho (253HPSAs).

Corpus placement

Where South Carolina sits among all 56 states and territories

At 5.2 designations per 100,000 residents, built from 267 active HPSA records over 5,118,425 people, South Carolina lands at rank 39 of 56, trailing the 7.3 median but still ahead of 30% of the field.

52 of those are county-wide geographic designations; the remainder are facility-, population- or clinic-based, which is why the county map and the designation count answer different questions.

Designation density tracks rural geography as much as unmet need: AK records 134.7 designations per 100,000 residents and NJ 1.5, because a sparsely-settled state accumulates more separate designations to cover the same population. Designations also overlap, so this counts designations, not people. Counted as distinct HRSA designation IDs, the same unit as the totals above. Computed from the designation records and county populations behind this page; states without county population data are given no placement rather than an estimated one.

Medically Underserved Areas
80
Residents in Geographic Shortage Areas
4,294,043
% Residents in Geographic Shortage
83.9%

HRSA Counties Indexed

46

with HPSA / MUA coverage

Discipline Mix

99 / 77 / 91 PC/MH/D

Primary care · Mental health · Dental

% Residents in Geographic Shortage-Designated Counties 83.9%

South Carolina Shortage Designations by Care Type

How South Carolina's 267 active HRSA designations split across the three provider categories. According to KFF's May 2026 tracker, South Carolina has not adopted ACA Medicaid expansion. That policy context does not measure provider supply, appointment availability, or care quality.

South Carolina HPSA designations by type

Active Health Professional Shortage Area designations, by provider category.

designations
Source HRSA Data Warehouse, designated HPSAs As of 2026

South Carolina HPSA Counties by Care Type

County lists for the three HRSA shortage disciplines searchers ask for by name (dental, primary care, mental health). Counts are live designated-HPSA records in this release, not provider headcounts.

Dental HPSA counties in South Carolina

45 counties with at least one active dental designation ; led by Hampton (4). Full list (designation count in parentheses): Hampton (4) , Horry (4) , Marlboro (4) , Richland (4) , Abbeville (3) , Allendale (3) , Cherokee (3) , Darlington (3) , Edgefield (3) , Florence (3) , Greenville (3) , Greenwood (3) , Lancaster (3) , Spartanburg (3) , Williamsburg (3) , York (3) , Aiken (2) , Bamberg (2) , Beaufort (2) , Charleston (2) ; plus 25 more in the table below.

Primary-care HPSA counties in South Carolina

46 counties with at least one active primary-care designation ; led by York (5). Full list: York (5) , Greenville (4) , Hampton (4) , Horry (4) , Marlboro (4) , Abbeville (3) , Allendale (3) , Cherokee (3) , Darlington (3) , Edgefield (3) , Florence (3) , Lancaster (3) , Spartanburg (3) , Sumter (3) , Williamsburg (3) , Aiken (2) , Bamberg (2) , Beaufort (2) , Berkeley (2) , Charleston (2) ; plus 26 more in the table below.

Mental-health HPSA counties in South Carolina

46 counties with at least one active mental-health designation ; led by York (5). Full list: York (5) , Greenville (4) , Hampton (4) , Horry (4) , Marlboro (4) , Abbeville (3) , Allendale (3) , Cherokee (3) , Darlington (3) , Edgefield (3) , Florence (3) , Lancaster (3) , Lexington (3) , Richland (3) , Spartanburg (3) , Sumter (3) , Williamsburg (3) , Aiken (2) , Anderson (2) , Bamberg (2) ; plus 26 more in the table below.

All counties in South Carolina, by total shortage volume

The 40 counties with the most active HPSA designations, of 46 in South Carolina. Columns split primary care, mental health, and dental. On a narrow screen, this list keeps each county’s total and MUA status visible; the care-type split is available on wider screens.

#CountyDesignationsMUA
1York13MUA
2Hampton12MUA
3Horry12MUA
4Marlboro12MUA
5Greenville11MUA
6Abbeville9MUA
7Allendale9MUA
8Cherokee9MUA
9Darlington9MUA
10Edgefield9MUA
11Florence9MUA
12Lancaster9MUA
13Richland9MUA
14Spartanburg9MUA
15Williamsburg9MUA
16Sumter8MUA
17Greenwood7MUA
18Aiken6MUA
19Bamberg6MUA
20Beaufort6MUA
21Charleston6MUA
22Chesterfield6MUA
23Clarendon6MUA
24Dillon6MUA
25Jasper6MUA
26Laurens6MUA
27Lee6MUA
28Lexington6MUA
29Marion6MUA
30McCormick6MUA
31Oconee6MUA
32Orangeburg6MUA
33Pickens6MUA
34Dorchester5MUA
35Anderson4MUA
36Barnwell3MUA
37Berkeley3MUA
38Calhoun3MUA
39Chester3MUA
40Colleton3MUA

Medically Underserved Areas in South Carolina

Showing 30 of 80 MUA designations (lowest MUA Index first, i.e. most underserved).

Name MUA Index
Newberry Service Area 0.0
Westville Service Area 0.0
Boykin Service Area 0.0
Chappells Service Area 0.0
Lee Service Area 29.5
Williamsburg Service Area 30.2
Mccormick Service Area 35.3
Dillon Service Area 35.6
Inner City Greenwood Service Area 37.5
Marlboro Service Area 38.5
Edgefield Service Area 39.6
Jasper Service Area 41.1
Chesterfield Service Area 44.0
Chester Service Area 44.8
Saluda Service Area 45.2
South Anderson City Service Area 46.6
Richland Service Area 47.2
LI-North Greenville City 47.4
Fairfield Service Area 48.0
Troy Service Area 48.7
Lancaster Service Area 49.3
Hampton Service Area 49.6
Bethune Division Service Area 50.1
Orangeburg Service Area 51.5
Sheldon Service Area 51.5
Sw Richland 51.6
Spartanburg Service Area 52.2
South Spartanburg Service Area 53.7
Johnsonville Service Area 54.2
Horry Service Area 54.6

Lower-middle density reading for South Carolina

South Carolina sits below the national mid-pack by designations per resident with 267 active records across 46 counties. A moderate footprint still matters: a single high-score dental or mental-health record can open program geography even when the state total looks small next to denser peers.

About 83.9% of residents live in a geographic shortage county. Use the county ranking below to see which localities drive that share.

Nationwide states with similar HRSA shortage footprints

Two peer sets for South Carolina: total active HPSA designations and Medically Underserved Area counts, ranked against every other state and territory.

Frequently Asked Questions

How many Medically Underserved Areas are in South Carolina?
South Carolina has 80 Medically Underserved Areas (MUAs). About 4,294,043 residents (83.9% of the state) live in a county with a geographic HRSA shortage designation. MUA-designated areas qualify for enhanced federal funding and Community Health Center grants.
Which counties in South Carolina have dental HPSA designations?
45 South Carolina counties carry at least one active dental Health Professional Shortage Area in the current HRSA release: Hampton (4), Horry (4), Marlboro (4), Richland (4), Abbeville (3), Allendale (3), Cherokee (3), Darlington (3), Edgefield (3), Florence (3), Greenville (3), Greenwood (3), Lancaster (3), Spartanburg (3), Williamsburg (3), York (3), Aiken (2), Bamberg (2), Beaufort (2), Charleston (2); plus 25 more on the table below. Counts are designated dental HPSA records per county, not a dentist headcount.
Are there doctor shortages in South Carolina?
Yes. South Carolina has 267 Health Professional Shortage Areas (HPSAs), including 99 in primary care, 77 in mental health, and 91 in dental care. About 83.9% of South Carolina residents live in a county that HRSA has designated as a geographic (whole-community) shortage area; additional residents are covered by population-group and facility designations counted separately.

Source: HRSA Data Warehouse Not affiliated with HRSA

Choose the next comparison

Use South Carolina's designation totals as a starting point, then move to the comparison that answers the next decision without treating a shortage designation as a personal care outcome.

  • Compare South Carolina's primary-care shortage record with every other state before drawing conclusions from a raw total; population and geography affect designation counts. Compare states
  • York County has the most active HPSA designations in this state profile. Open its county record to inspect the local primary-care, mental-health, and dental breakdown. Open county profile
  • Use the national statistics reference for the source vintage, aggregate context, and methodology behind these state-level figures. Read national context

HRSA designations describe structural provider-shortage criteria and federal-program eligibility. They do not measure appointment availability, insurance coverage, care quality, or an individual patient’s access to care.

Verify with U.S. Census Bureau →

Verify with CMS →

Every figure on PlainHealthAccess is rendered directly from HRSA source data, no number is typed in by an editor. This page aggregates every county-level HPSA and MUA designation on record for South Carolina (SC) and ranks the state's per-capita designation density among all states and territories. Designations describe federal shortage criteria, not appointment availability or care quality for any person. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page. Data current as of 2026.